The African Health Strategy was adopted in 2007 by the African Union (AU) in a response to the large burden of disease, which was identified as a major barrier to development socio-economic development in Africa. The strategy highlights the main challenges faced by African health systems and outlines a broad strategic framework and commitments for African governments to achieve the health Millennium Development Goals ( MDGs), complementing existing national and sub-regional strategic documents. The strategy commits the AU, Regional Economic Communities (RECs), African governments and development partners to the strengthening of health systems through improved resources, policies and management in order for the health systems in Africa to reach the poor and those most in need of health care.